Individual provider Active NPI

Melissa Ann Wisner, NP

  • Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1629614128
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903665 Issued in MS
Practice address
54 SGT Prentiss Dr
Natchez, MS 39120-4726
Phone
(601) 490-7070
Fax
(601) 442-3199
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903665 MS Primary

Addresses

Primary practice location

54 SGT Prentiss Dr
Natchez, MS 39120-4726

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200225000999 MS Practitioner - Nurse Practitioner 4880021286 Reassigns benefits to 4 organizations
I20220105001525 LA Practitioner - Nurse Practitioner 4880021286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians
Natchez HB Medical Services LLCGroup PAC ID 8921461286, 30 clinicians

Practice addresses (Care Compare)

209 Front St
Vidalia, LA 71373-2837
Phone (985) 892-7070

54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 443-2100

54 SGT Prentiss Dr
Suite 1057
Natchez, MS 39120-4726
Phone (985) 892-7070

Hospital & facility affiliations

  • Merit Health Natchez Hospital, Natchez, MS, CCN 250084

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

Merit-based Incentive Payment System (MIPS)

Final score
82.53 of 100Reported as group
Quality
69.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
26.67
Improvement activities
40
Cost
80.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903665MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Jan 8, 2020 Accepting new patients
Wound Care Associates LLC CurrentSince Oct 4, 2021 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Nurse Practitioner CurrentSince Jan 8, 2020 Accepting new patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Grenada Physician Services, LLC Nurse Practitioner CurrentSince Oct 23, 2020 Accepting new patients
Natchez HB Medical Services LLC Nurse Practitioner CurrentSince Aug 17, 2024 Accepting new patients

Locations

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

1810 EE Wallace Blvd N
Ste 2
Ferriday, LA 71334
Phone (318) 232-6839

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

200 Corporate Blvd
Lafayette, LA 70508

1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370

209 Front St
Vidalia, LA 71373
Phone (318) 336-6500

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

54 Sgt Prentiss Dr
Ste 1057
Natchez, MS 39120
Phone (601) 490-7070

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1629614128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SGT PRENTISS DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204726",
            "telephone_number": "601-490-7070",
            "fax_number": "601-442-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.